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Combination anti-PD-1 and anti-CTLA-4 therapy generates waves of clonal responses that include progenitor-exhausted CD8 T cells [dataset 1]

GSE272993 Homo sapiens Expression profiling by high throughput sequencing; Other 360 samples Submitted 2024/07/30 Platform GPL24676
Summary
Combination checkpoint blockade with anti-PD-1 and anti-CTLA-4 antibodies has shown promising efficacy in melanoma. However, the underlying mechanism in humans remains unclear. We performed RNA+TCR single-cell analysis across time in 36 stage IV melanoma patients treated with anti-PD-1, anti-CTLA-4, or combination therapy. We developed the algorithm Cyclone to track temporal clonal dynamics and underlying cell states. Checkpoint blockade induced waves of clonal T cell responses that peaked at distinct timepoints. Combination therapy resulted in greater magnitude of clonal responses at 6 and 9 weeks compared to single-agent therapies, including melanoma-specific CD8 T cells and exhausted CD8 T cell (TEX) clones. Focused analyses of TEX identified that anti-CTLA-4 induced robust expansion and proliferation of progenitor TEX, which synergized with anti-PD-1 to reinvigorate TEX during combination therapy. These next generation immune profiling approaches can guide the selection of drugs, schedule, and dosing for novel combination strategies.
Published in
Combination anti-PD-1 and anti-CTLA-4 therapy generates waves of clonal responses that include progenitor-exhausted CD8(+) T cells
Wang K, Coutifaris P, Brocks D et al. · Cancer cell 2024 · PMID 39214097 · doi:10.1016/j.ccell.2024.08.007
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Direct links to NCBI, no account and no request form: the whole study as GSE272993_RAW.tar, processed values as the series matrix, the supplementary file directory, and per-sample supplementary files for any of the 360 samples. Raw sequencing reads are also available from ENA.

Also filed as BioProject PRJNA1138883 and SRA study SRP521777. Searching any of these in the dataset finder brings you back here.

Study design
9 conditions, mostly with about 5 replicates each
Feature-2020-08-17-1 ×6 TCR-2020-08-17-1 ×6 Feature-2020-07-10-1 ×5 GEX-2020-07-10-1 ×5 TCR-2020-07-10-1 ×5 GEX-2020-08-17-1 ×4 Feature-2020-08-19-1 ×3 GEX-2020-08-19-1 ×3 +1 more

Supports a between-group comparison across 40 samples.

9 replicated groups read from the first 40 of 360 sample titles; they account for 40 of them. Check it against the sample list below before relying on it.

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